- Callen-Lorde Community Health Center (New York, NY)
- …of our dental services, with oversight of administrative workflows, scheduling, billing , and patient access. Reporting directly to the Director of Dentistry, ... patient pre-screening, treatment planning, front desk operations, referrals, and billing procedures. + Oversee provider scheduling, templates, and rescheduling… more
- Deloitte (New York, NY)
- …for improvement, and tracks progress. Job Duties and Responsibilities: + Analyze medical records for inpatient and outpatient service areas for accuracy of coding ... and documentation to ensure regulatory compliance + Apply knowledge of medical terminology, disease conditions and procedures to evaluate clinical documents +… more
- WMCHealth (Valhalla, NY)
- …denials. Generate appropriate appeals, both retrospective and concurrent, based on medical necessity criteria. 2. Identify opportunities to improve reimbursement. 3. ... and specific functions may change from time to time. + Review and identify medical necessity denials appropriate for appeal. + Appeal appropriate medical denials… more
- Bassett Healthcare (Little Falls, NY)
- …make sure the patients needs are met) or prescription requests using the electronic medical record messaging system. + Offers patients the opportunity to sign up for ... as monitored by system audit + Accurate confirmation of attending PCP and Billing PCP, when appropriate. + Assures correct data capture and data entry (such… more
- Mount Sinai Health System (Brooklyn, NY)
- …+ High school diploma/GED required; college degree preferred + Knowledge of medical terminology + Excellent customer relations and interviewing skills, ability to ... obtain receipts, document records) 6. Process patients/clients and employee payments, billing , cashier transaction 7. Process log, batch, and maintain receipts to… more
- Mohawk Valley Health System (Utica, NY)
- …of care advisement. + Support education to minimize clinical variability throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals ... Managers and Attending Physicians to align on the level of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA)… more
- Catholic Health Services (Melville, NY)
- …and insurance information is on file for clinical submission and billing . DUTIES/RESPONSIBILITIES: + Determine whether authorization is required and utilize ... ensure submissions are complete. + Setup and support Peer-to-Peer reviews between medical directors and physicians. + Coordinate with clinical staff to provide proof… more
- Trinity Health (Albany, NY)
- …industry. + Knowledge of insurance and governmental programs, regulations and billing processes ( Medicare , Medicaid, Social Security Disability, Champus, and ... with questions regarding financial liability to appropriate resource(s). + Accepts medical authorization or referral forms, if appropriate. + Processes key documents… more
- Stony Brook University (East Setauket, NY)
- …in Joint Operating Calls (JOC) with insurance payers. + Monitors medical record request, correspondence distribution and scanning processes, volume, and trends. ... hospital Managed Care payment variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + Expert… more
- Trinity Health (Albany, NY)
- …company to complete the required pre-authorization process. Validates payable diagnosis codes/ medical necessity and prior therapy requirements according to FDA and ... with the treatment team on the financial implications of medical intervention to the patient and the health care...within one (1) year of hire. Understanding of basic billing and coding. **Additional Qualifications (nice to have)** Bachelor's… more